CTO (Chronic total occlusion)

Latest CTO content in interventional cardiology - research, practice, and education

Recently we have seen an increase in successful percutaneous coronary interventions (PCI) of CTO in part due to improvements in hardware (guidewires and balloons), the introduction of dedicated devices (microcatheters, channel dilators, dissection-reentry devices) and the elaboration of CTO-specific techniques. To fully grasp CTO today, here you will find here everything that you need to know including the latest devices and techniques as well as advances in imaging, the use of adjunctive pharmacotherapy, vascular access or understanding bleeding risks…

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CTO

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I need a shorter guiding catheter and I don’t have it in my cath-lab!

12 Apr 2022

The guiding catheter is necessary for guaranteeing the support and deliverability of additional devices. However, it's not always of the perfect length for several reasons, because it is not available at that moment in the cath-lab or it is not designed for the purpose you need....

Alessandro Sticchi

Author

Alessandro Sticchi
Gabriele Gasparini

Author

Gabriele Gasparini
I need a shorter guiding catheter and I don’t have it in my cath-lab!

Complications: cases of wire entrapment, stent dislodgement, an entangled Impella device and more

16 Dec 2021 – From GulfPCR-GIM 2021

Watch this session to learn how to face various complications, thanks to a selection of cases presented at GulfPCR-GIM 2021: a wire entrapment, a guide-wire fracture, a dissection and a loss of flow, a stent dislodgement, as well as an entangled Impella device. 

Complications

Cases on CTO

16 Dec 2021 – From GulfPCR-GIM 2021

Watch this session to discover 3 CTO cases unveiled at GulfPCR-GIM 2021: a successful CTO left circumflex PCI with periprocedural cardiac tamponade, a dynamic coronary roadmap as a guidance tool in CTO LAD recanalisation, as well as a complicated CTO to right coronary artery.

Cases on CTO

Complications during PCI, guidewire entrapment and and unexpected Impella complication

16 Dec 2021 – From GulfPCR-GIM 2021

Watch this series of clinical cases- would you have made the same treatment choices to manage these complications?

- Unusual complication during an angiogram
- When wires give you troube
- Routine PCI complications: a CTO technique to the rescue
- Entrapment and fracture of coronary guidewire
- An unexpected Impella...

Complications during

Cases on miscellaneous coronary interventions

15 Dec 2021 – From GulfPCR-GIM 2021

Watch this session to discover a selection of cases on miscellaneous coronary interventions unveiled at GulfPCR-GIM 2021: imaging-guided multivessel PCI in left main with TVD with rotablation in a ESRD, tiger catheter-induced left main occlusion, using IVL instead of rotational atherectomy, PCI of LIMA-LAD at anastomotic site in single surviving artery, aortocoronary dissection...

Cases on miscellaneous coronary interventions

Successful Stent-less Percutaneous Coronary Intervention of Chronic Total Occlusion by Ablation Devices in a Young Adult

04 Nov 2021

View this case with a 38-year-old male with effort angina and chronic total occlusion at the ostial segment of the left anterior descending artery.

Successful Stent-less Percutaneous Coronary Intervention of Chronic Total Occlusion by Ablation Devices in a Young Adult

Antegrade CTO intervention: the essentials you need to learn

08 Oct 2021 – From AICT-AsiaPCR 2021

Watch this session on antegrade CTO intervention to learn the basics and hardware required to perform antegrade CTO technique and the various techniques and devices for a successful surgery, as well as to know some of the complications that may occur during the procedure.

Antegrade CTO intervention: the essentials you need to learn

Cases on CTO

08 Oct 2021 – From AICT AsiaPCR 2021

Watch this session to discover a selection of challenging CTO cases: multivessel disease with a balloon uncrossable CTO complicated by VT, retrograde PCI to ostial left anterior descending artery CTO, CTO RCA done with retrograde approach with reverse CART technique, and more!

Cases on CTO

How should I treat a fractured microcatheter?

16 Sep 2021

A 80-year old man presented to hospital with an anterior non-ST segment elevation myocardial infarction and acute pulmonary edema... This case describes  a fractured microcatheters in calcific coronary arteries/chronic total occlusions.

Vinayak Nagaraja, Interventional Cardiologist

Author

Vinayak Nagaraja
Dr Jaikirshan J. Khatri

Author

Jaikirshan J. Khatri
How should I treat a fractured microcatheter?

Bubble trouble: aortic air embolization and de-embolization during coronary angiography

09 Aug 2021

Air embolism (AE) is a rare complication during interventional procedures and one of the most scaring for interventional cardiologists. Air bubbles in the coronary circulation often result in ischemic symptoms, vasospasm, and even cardiac arrest. In addition, arrhythmias are common and closely related to the coronary ...

Bubbles trouble: Aortic Air embolization and de embolization during coronary angiography